Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Arizona for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Arizona only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Arizona (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Community Intervention Associates (NPI 1639287667)

Field	Value
Entity Type	Organization
Organization	Community Intervention Associates
Address	2851 S Ave B
City	Yuma
State	AZ
ZIP	85364
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	August 29, 2006

Payer Source	Total Paid
Medicaid	$58.9M
Medicare	$0

Key Findings

COMMUNITY INTERVENTION ASSOCIATES is effectively a Medicaid-focused provider: it has no Medicare billing on file and reports $58.9M in lifetime Medicaid revenue, making Medicaid the sole reported payer-driven revenue source and exposing the organization to Medicaid policy and rate changes. This single-payer concentration implies payer-specific operational and reimbursement risk.

Revenue is highly concentrated in a small set of service codes: the top three Medicaid codes (T1016, H0031, H0004) together account for 71.8% of the provider's Medicaid revenue. Those codes individually generate $21.1M (35.8%), $12.9M (21.9%), and $8.3M (14.1%) respectively, indicating dependence on case management, non-physician mental health assessments, and behavioral therapy for most of reported income.

The service mix points to a community behavioral health operating model focused on high-volume case management and outpatient behavioral services. Extremely large claim volumes for T1016 (397.6K claims) and H0031 (74.6K claims), together with substantial H0004 activity (103.4K claims), suggest the organization primarily delivers repeated, time-based case management, mental health assessments, and counseling/therapy rather than physician-led, procedure-based care.

COMPETITIVE STANDING: the provider is a major statewide player for several high-revenue codes. H0031 ranks #4 of 812 providers in-state (100th percentile; extreme outlier) and H2011 ranks #3 of 140 providers (99th percentile; extreme outlier), while T1016 and H0004 both sit in the 98th percentile (ranks #20 of 1157 and #21 of 1147 respectively), indicating dominant or unusually large volumes compared with in-state peers for those services.

Crisis and intensive outpatient capacity is prominent in the portfolio: H2011 (crisis intervention) records 43.6K claims and $1.5M revenue and H0015 (intensive outpatient) reports 26.8K claims and $3.9M revenue. The high ranks and claim counts for these codes show the provider delivers substantial crisis response and structured substance-use intensive outpatient programming alongside routine case management.

The organization also bills substantial E/M services alongside behavioral codes, indicating integrated or colocated medical-behavioral encounters. 99214 has 43.6K claims and $3.3M revenue (rank #82 of 3041, 97th percentile; notably above typical), and 99213 has 24.5K claims and $1.3M revenue (rank #137 of 2775, 95th percentile), which suggests frequent office/outpatient evaluation and management services tied to its behavioral caseload.

Support and ancillary services appear to be an operational emphasis: S5110 (home care training) shows 20K claims and $840K revenue (rank #15 of 182, 92nd percentile; notably above typical), S0215 (non-emergency transportation) has 9.7K claims and $290.3K revenue, and T1013 (sign language/oral interpretive services) records 22.9K claims (paid $1/claim) and ranks #3 of 98 providers (98th percentile; extreme outlier). These volumes point to a broad care model that includes transportation, interpreter, and caregiver training supports.

The provider has a long operational history: its NPI was enumerated on 2006-08-29 (~20 years ago), indicating sustained presence in the market. Combined with the high-volume, high-percentile billing patterns for multiple Medicaid codes, the tenure supports the characterization of an established regional behavioral health agency with concentrated Medicaid revenue drivers.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

57 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	397,610	$50	$21.1M
H0031	Mental health assessment, by non-physician	74,560	$170	$12.9M
H0004	Behavioral health counseling and therapy, per 15 minutes	103,440	$80	$8.3M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	26,840	$140	$3.9M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	43,620	$80	$3.3M
H2011	Crisis intervention service, per 15 minutes	43,550	$40	$1.5M
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	8,940	$160	$1.4M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	24,520	$50	$1.3M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	6,960	$170	$1.2M
H2014	Skills training and development, per 15 minutes	38,330	$30	$996.5K

Showing 1–10 of 57

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.

Claims Volume vs. Arizona Distribution

Community Intervention Associates — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. Arizona median

57 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	11	280	1,040	$460	$2.2M
T1016	Case management, each 15 minutes	20	1,160	2,110	$30	$1.2M
S0215	Non-emergency transportation; mileage, per mile	192	510	4,610	$40	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	21	1,150	1,700	$90	$1M
H2016	Comprehensive community support services, per diem	140	290	840	$280	$890.1K
H2014	Skills training and development, per 15 minutes	46	780	1,610	$100	$868.2K
H2011	Crisis intervention service, per 15 minutes	3	140	330	$210	$659.5K
H2027	Psychoeducational service, per 15 minutes	175	500	750	$170	$592.2K
H0038	Self‑help/peer services, per 15 minutes	91	580	1,250	$80	$479.7K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	104	400	200	$120	$403K

Showing 1–10 of 57

Related Providers

Other providers that share a Tax Identification Number (TIN) with Community Intervention Associates, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Salvador Alonzo	AZ	Family Nurse Practitioner	$329.7K	$0
Georgina Rotzler	AZ	Psychiatric/Mental Health Nurse Practitioner	$26.2K	$37.4K

Nearby Providers

Other providers in the same ZIP code as Community Intervention Associates, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yuma Regional Medical Center	AZ	General Acute Care Hospital	$0	$278.5M
Sunset Community Health Center Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$82.3M
Saguaro Foundation	AZ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$73.5M
Yuma Dentistry 4 Kids PLLC	AZ	General Practice Dentistry	$0	$16.6M
Colorado River Behavioral Health System	AZ	Community/Behavioral Health Agency	$0	$13M
Dva Healthcare Renal Care Inc	AZ	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$12.8M
Easter Seals Blake Foundation	AZ	Community/Behavioral Health Agency	$0	$12.7M
City Of Yuma	AZ	Land Ambulance	$896.2K	$10.7M
Crossroads Mission	AZ	Substance Abuse Rehabilitation Facility	$0	$11M
Community Medical Services Arizona-private, LLC	AZ	Methadone Clinic	$92.1K	$10.3M

Community Intervention Associates — Billing Profile & Reimbursement Data

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Community Intervention Associates — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References